Surgery Technique and Insurance Questions

[Ms. Ashley]

I've been wondering, I've heard some Thai surgeons like Chett don't do the standard inversion technique, so what is it they do? How do they compare to each other? Pros/cons?

Regarding insurance, besides Bowers, who else accepts insurance of any kind? Also, any good loan options out there?

[TinaVane]

Do you have good credit ?



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[Dena]

Mostly the variations are where they get the tissue from. Some  doctors use the scrotum for the vagina and the penis skin for the external work or the colon could be used for the vagina. One other possibility is to use a skin graft to supply  additional tissue. My surgery was pretty much a one size fits all PI but today the surgeons are artist who evaluate what they have to work with, select from the surgeries they are comfortable preforming and deliver the best possible solution. You will have to wait for others to answer because I am unsure exactly what each surgeon offers but I think Chett may do PI.

[Ms. Ashley]

Do you have good credit ?



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Really really good credit.

[Brooke]

In regards to insurance. I know Dr Meltzer accepts one carrier and/or if you can get prior auth and/or an agreement between him and your carrier for "one time" coverage.

I'm on Medicare myself. Trans Medicare has a list of trans surgeons who accept Medicare

http://www.transmedicare.com/provider-list.html?m

Might be worth seeing if they accept yours.

I would wait until your ready to pursue surgery though. If you have an insurance carrier that covers gcs see who they are contracted with or if they accept out of network physicians with the prior auth.

If your  making an attempt for a specific surgeon that accepts insurance, plan on getting coverage with them (and the right plan/meeting any requirements etc) when open signup is available.

You can also look into states like California where coverage is better if your willing to move.

That thought has crossed my mind.

I think carecredit is accepted by many surgeons. No idea if it's accepted for those outside the states though.

Good luck!


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[TinaVane]

In regards to insurance. I know Dr Meltzer accepts one carrier and/or if you can get prior auth and/or an agreement between him and your carrier for "one time" coverage.

I'm on Medicare myself. Trans Medicare has a list of trans surgeons who accept Medicare

http://www.transmedicare.com/provider-list.html?m

Might be worth seeing if they accept yours.

I would wait until your ready to pursue surgery though. If you have an insurance carrier that covers gcs see who they are contracted with or if they accept out of network physicians with the prior auth.

If your  making an attempt for a specific surgeon that accepts insurance, plan on getting coverage with them (and the right plan/meeting any requirements etc) when open signup is available.

You can also look into states like California where coverage is better if your willing to move.

That thought has crossed my mind.

I think carecredit is accepted by many surgeons. No idea if it's accepted for those outside the states though.

Good luck!


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Carecredit does not work overseas I wish it did I would have been jumped over to Thailand [emoji23][emoji23][emoji23][emoji23]


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[SadieBlake]

Link at bottom is a good animation of the inversion method practiced in the US.

The main change this represents from my understanding of the state of surgical art of 20 years ago is the use of the urethral mucosa as part of the lining of the neovagina wall which affords some lubrication. The older PI technique also used to leave the glans at the bottom of the vagina and friends back then said it felt like a cervix.

I *think* the re-routing of the nerve bundle along with moving part of the glans to form a neocltoris that has primary sensitivity is also a relatively new addition to the method.

Chett's site has a breakdown of where various skin elements are used in his technique.

As far as I know most US surgeons practicing vaginoplasty accept insurance. I know for sure that Satterwhite and the new team working at Boston medical center do, the latter are contracted with blue cross. I'm pretty sure Bowers does also but don't know firsthand, the length of her waiting list kept me from trying to schedule with her.

http://www.medicaldaily.com/male-female-sex-reassignment-surgery-watch-reconstruction-and-witness-363816